812 Yorktown Pl
~
I CITY nF EA AN WATER SERVICE PERIIAIT
, 3830 Pilot Knob ao.d , . ~
P. O. Box 21199 PERJVtIT NO.:
Epgn, MN 55121 D/?TE:
Zonlrg: _ Tt1" No. of Unlts:
~
I r: Wak-i. ey Bros.
~ Addmw.
812 Yorktown,. l' • ort v ew . ea ows
2 rc'~~ ~ ' , - • ' S
i PIun~. , , uupd
Mrt~r No.. (,u" •'`~Q n~~pl~i+orps
10
Rwd No.:
1 'W" h 1 O1/ wo ~l~J Sunchoror
Mise. Choro~s: 13 Z. t10nd TF
, Tot01: motor
gy Adoi, ~ OaM Poid:
~ DoM of Insp.: Insp.:
CITY OF EAGAN 1NATER SERVICE PERMIT
3830 Pilot Knob poad
P. O. Box 21198 PERMIT NO.:
Epan, MN 55121 DATE:
ZO^d,q: _ R I No. of Unlts:
Owrwr. BTos.
/lddrai:
51w Addroa: l ' YQrkinwn ''i _h•: 3e~w ,•--a uwr,
Flwtlbw: =n ~f_tc-'7Ccc. .
Meftr No.: Conrrctfon Charpr ,
Sin: Acoount peposit: `
Rw&r No.: Ponmit Fes:
1 qne NNowIf wMi !w CMp of lqpw Surcharge:
0"ININ010000. MUc. CFaraa:
Totol: r
BY Dob Pbid:
Dah of Insp.: In@p6;
CITY OF EA9AN SFVM smtVKm PnMR
3830 Pilot K,wb Road
P. O. Box 21198 PERMIT NO.:
; Eagsn, MN 55121 p,^~; - -
~^0' ± 1. No. of Unlts: '
Own.r: s ey $ ras.
llddnss: -
' Str. Mdnav 12 Yor t owm P. ti ort vC-a,
~ Plumbsw
16-4 _ --65 5664 :
w11M ly pe~r oi y "o ~ '
Corr»ctlon CJaepe: 42 5 . .,0*sc.'
~ OrdIw~Mr. ACOOurR Deppdt.
~ Prmtt Fsr '
SuKlwrpe:
` By Misc. G,oepm
~ Dote of Insp.: Toeol:
Dote PoW:
~ - Insp.:
• ~ CASH RECEIPT 0
• CITY OF EAGAN
P. O. BOX 21-199
EAGAN, MINNESOTA 55121
DAT - 6 19
wccirvta ~
FI~ ` •
A UNT $ I
a ooLLwws
~os
? CASH ? CHECK
row
~
ICJ '
rUND COD6 AMOUNT
/
r
Thank You
BY
Whits-Peyers Oopy
Yellow-Postiny Copy
Pink-File Copy
CITY OF EAGAN
~ 3830 Pilot Knob Rosd, P.O. Box 21-199, Eagan, MN 55721
- PHONE:454-8100
6UILDING rERMIT Receipt ~t
To M wW Mr Est. Value 1:•; ~ pote 19
SiteAddrea i L Erect O Occupeney
Lot ' Block ^+Rs/Sub. Remodel ? Zoning
Repair ? Type of Const.
Percel No. AddRfon ? No. Stories
Move ? Length
~ Name Demoliah ? Depth
Address Int Impr. ? Sq, Ft.
City ' phone 4 Install ?
~ Neme AVMovah F"s
addren Asussment Permit ` ~ (y Q
City Phone Wote? a Sew. Surcharge
Police Ptan Review ibi.GO
P~`+ Neme Fin 3AC ~ 2`~ . 00
W
Addrese Enp. WaterConrt OC
tW City Phone Plonner Water Meter S3. 00
Council Road Unit 2eU. U 0
I hereby ocknowtedfle thot 1 hore rood this opplication and stote fhat Bldg. Off. ' Tr. PI. i 320.
the informntion is correct ond ogree to comply with oll opplicuble A~
Stafe of Minnssota Statutes ond City of Eoqon O?dinonus. Parks
Var. Date C~ies
Siyrwturo of Pennittee
Total
A Buildiny Petmit Is issutd to: ~"J . on th~ express tondition thot
olt work shall be done in occordance with ptl applicable State of Minnesoto Stotutes ond City of Eaqan Ordinonus.
; ,
Buildinp Officiol -
L
Pwmit No. Pwmk Noldw Dab ToIophono s
Pi""'bMN
H.vA.c. U V1-.~ <~a
EMet~fo
Sadt~r
Inpution Ds" Insp. OthM
Footln9s 1 ~p
Footln9s 11
Foundatlon ~
Fnminy
Rooflnp
ROUqh Plbp.
Rouoh Mt¢ r ~
Inwl
FlnplaC~
Flnd Htp. !Jl
Flnal Plbp.
Final
CMt/Oca ( I
WatK DMC?ibo Loeation:
WNI
Swnr
Pr. D1"p.
Roceipt PLUMBING PERMIT Permit No. CITY OF EAGAN FN ,i
- Fill in numbend spaces . S/C
Type or Prini legibJy
Tot. 3
1. Date 2. Installation Cost .1
3. Job Address L'ot Blli'.r- rract'
4. Owner
5. Contractor Phone
6. Address
~
i
~ 7. City State Zip -
~
7
8. Building Type: Residential 0 Commercial O Institutional O ~
w
I
~ 9. Work Description: New ? Add ? Alter 0 Repair ?
10. Describe -i
~
` 11. No. Fixtures No. Fixtures "
- - ~
a
~ Water Closet Cesspool/Orainfield ~
~ Bath tubs Septic Tank 1
Lavatory Softner ~
Shower '
Well ~
Kitchen Sink ~
Urinal/Bidet Other
Laundry Tray ~
_L Floor Drams ~
Drinking Ftn.
~ Slop Sink ~
J Gas Piping Outlets
- 12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and cqdes governing this type of work.
~
Signed : ~
for
Rouph Final
Inspectians: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
RealPt MECHANICAL PERMIT Pwmit No.
CITY OF EAOAN .
FM
fi/! fn iximbtnd qmm . S/C
Typr or Print lpibly Tot.
' 1. 0ate 2. Iruqllation Cost ,
' 3. Job Addreu _ . . , Loti'_Blk. ' Tntt
4. Owrw
~ 5. Contractor Phom
8. Addnss "
7. C'itY State Zip
: B. Buildinq Type: Rtsidtntisl 0 Commercial ? In:titutionsl E3
9. Work DKCription: New 0 Add ? Altar O Repair ?
- 10. Describt Fuel TYpe
11. No• Eqyjpmtpi B TU - M. Es. No. Equipment CFM
' Forced Air Air HandlinQ:
Mf9•
Boiler:
' Mech. Exhaust
~ Mfy. ' Unit Heater
Mfy. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and 1 agree to
comply with all ordinances and codes governing this type of work.
Signed :
for
ROUyh F inal
Inapactions: Date Insp. Date Insp.
This is your permit when numbered and approved.
, Approved CITY OF EAGAN 464-8100
CITY OF EAGAN Remarks
Addition NORTHVIEW NEADOWS Lot 17 alk 5 Parcel -~70-05
owner Street 812 YORKTOWN PLACE State EAGAN MN 55123
Improvement Date Amount Annual Years Peyment Receipt Date
STREET SURF. 1984 igiff ]Ej. ]S ?.i7 *-fl$ 10 01 3- A
STREET RESTOR.
GRADING
SEWE R LAT 5 1981 1S.89 . 9 0
SANSEWTRUNK 57,j 1981 138.48 6.92 20 C40114. 3 ~/,f s~
SEWER IATERAL TR 1984 275,22 18.34 I8.35 5 -?-Zo. 2,0 G o
SEWER LAT 577 1981 22.28 i.+8 4-.44 3'815 o i 6 3 0, rs
WATERMAIN gq 1984 70.67 4.71 15 114'e. C~Q 4 , 3 WATER LATERAL 7 I981 1$.65 1.24 S , 'if eO lp jj -
WATER AREA 1981 138.48 6.92 20 0 36 3 ~1~-~ -52
WATER LAT 5 ~ 1982 29.52 ,.+-1 1:48 20 O• o o/
STORM SEW TRK S(j 1984 392.32 ya,?,& 39-. 23 "f
STORM SEW LAT
DRAINAGE 5/1 1984 33.97 ;.;q 0 O/ 3 3 -
CURB & GUTTER '
SIDEWALK I
STREET LIGHT
Road Unit 80.0 56849 8 5
WATER CONN. 500.00 " "
6UILDING PER. 115(
sac 525.00 PARK
~
irvis .eauest ~tl
18 nwmhs (romvo ~ 7 C
o ~r` L~~:3
Renuest Dale I I Fre No. Rouph-m Insuecuon
Requ
1np i~etl~ I OFeatly Now qWill oiiUfyNeadInspec-
Ix(~-V I~ L]hJ-- 4yes ?Nu lor WNheV
1
[y~ Licensed Electrical Convactor I hereby raquast inspactlon o1 abovo
? Owner elaclncal work installed at:
Sireet Address, Boa or Route No. . CIrv
812 VpjLktown Ptace Ea an
ection o. Township Name or No. Range No. Cnwily
Dafzato
Occvu,mI IPRINTI Phone No.
Jim Wahe2y Cana.tnuc.ti.on
Power Sunplier Address
Dafza.ta Coun.ty E2ec. Fcvuni.ngton
Elecincal Contractor ICompany Numel Convactor's License No.
Ea6ton E2ec. Co. 040079-4
Madinp AdJress IContnctor or Owner MakinO Insmilauonl
6525 E. 170,th St. Ph,i.an Lahe, Mn. 55312
Amhon~2iBnaw re ( ntrac dOwncr Mnkme Insuallationl Phone Nmnber
MINNESOTA STpTE 60AflD OF ELECTflICITY THIS INSPECTION pEQ ILL NpT
Griggs-Mitlway 91de. - Xaom N-191 BE ACCEPTED BY TME STqTE BOAND
1821 University Ave., St. Paul, MN 55100 UNIESS PflOPEN INSPECTION FEE IS
Phone 16121297-2111 ENCLOSED.
C REQUEST FOR ELECTRICAL INSPECTION r Ea-O°°°,- '
D ~ 1 ' SBO 1113tfYC110lIS fOf CO J
~elinB tPis form on back of vollow co0v.
~ "X" Below Work Covered by 7his Request
0
Nrerv~Addj Fep. Typn of Building AOOlmncea Wved Equiumem Wired
Home Range Temporary Service
Duplex Water Heater Liyhtinq Fixture5
Apt. Bwlding Dryer Electnc Heaun
Commercial Bldy. Fumace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Othai peci y Tthe, ISueafyl
llx:r ucufy thcr Oth.r
ompute InspecUOn Fee Belaw
N Gee ServicaEntmneeSuze $l Fee Feeders/SUbfeetlers N Fee Clrcuits
to 200 Am Ps 0 to 30 Am s 12 30 0 tn 30 Am n
Abuve 200 qmps 31 to 100 Amps ot) 31 to 100 Am s
Swimming Pool Above 100_Am s Above 100_Am s
Transtormers Irrigation Boorris Partial.'Othei Fee
Siyns SUeciallnspection
S45.50 TOTAL F1EEJ G/
Remirks I
l
NauBh-in D:ite /
1 fNa Ele tricel
~ spector, heroby
ar~ify that the aCOVe
Final oeclion has beon
?IIpfBQUB9t VOIEIBlIIOOtR9f(OT p a ~ "
CITY OF EAGAN nf ° 1 1 15 6
. ~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454•8100
BUILDING PERMIT Receiot #
T. M wed !er SF DWG/GAR Est. Volue $63,000 pate OCTOBER 23 1985
Site Addr~,, 812 YORKTOWN PL Erect cx Occupancy R3
Lot 17 Block 5 Sec/SubNORTHVIEW MEADS Remodel ? Zoning Rl
.
Parcel No. Repair ? Type of Const. V
Addition ? No. Stories
WAKELY CONSTRUCTION Mo"e ? Lenytn 40
= Name WASHBURN Demolish ? Depch
~ Address Intlmpr. ? S° 24
BURNSVILL 890-2604 . F`.
City ~hone Install ?
o Name SAME AVV~orolf Fess
OU Address Assessment Permit $ 322.00
l- City Phone Water & Sew. Surcharge 31. 5 Q
F Police Plan Review 161_~ 0
s
F= Name Fire SAC 525.00
~o Address Enp. WaterCOnn. 500.00
~4 u City Phane Plonnef WatBr Meter 63. ~ 0
Council RoadUnit 280.00
I hereby acknowledge that I have reod this apDlicotion ond state fhnf Bldg. Off. 10 22 $ Tr. PI. 132, OO
the inlormalion is corrett ond o9ree to Comply with opplicnble qPC
State of Minnewta Statut ond City of Eagan Ord ol
i cez. Parks
Var. Date Copies
Sipnoture of Permiftea ' " Total +S 2,014 . 5 0
A Building Permit Is issue fo: WAKELY CONS RUCTION on the express conditlon Ihot
ali work sholl be done in occordance i uvvli ble S te M~in-new-ro Sratutes ond Ciry of Eapan Ordinances.
Buildinp Of(icial
~ll
i
. ' 1
/
1985 BUILDING PERNIT APPLICAiION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED ilITH ?HE CITY OF EAGAN
COt4MERCIAL SINGLE FAMILY DifELLINGS
INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS
& STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY
SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATZONS
ENERGY CALCULATIONS '
$2,000 LANDSCAPE BOND
(a 3~ Oo0
To Be Used For:Sl"9<<" FAMILv Valuation: Date:
Site Address 8'l~2 . DRk-TOcaiu 42[A(C OFFICE USE ONLY
Lot Block S Erect v
_,C Occupancy Iz•3
, Remodel Zoning •I
Parcel/Sub /l-)0!!7/} /~;L~ w n/ eapowS Repair , Type of Const .w~ ~
Addition 0 of Stories /-ylr
Owner !2F_N~ f>NRI(S ZyC-'IZ~ Move , Length o
Demolish Depth a y
Address Int.Impr. 1 Sq Ft
Install
City/Zip Code
Phone APPROVALS FEES
Contractor WMK94-~4 C bN'37(Ivr7ol0 Assessments Permit
Water/Sewer ~ Surcharge
Address /36/3 WF514I3VRA) Police ' Plan Review 16
Fire SAC SZS.
City/Zip Code 13ult/uSOi~L 6- /rh,SS3Engr Water Conn SGo.
Planner Water Meter 63.
Phone S~-rj D-"a 6 0~ Council Road Unit 2g0.
Bldg Off/a-2 -SS~Treatment Pl 32.
Arch./Engr. APC Parks
Variance Copies
Address TOTAL
Lr~c-u5G 2S,
City/Zip Code
Phone ft
. 1XW,T
• 3.z xa eh. NoT r"'.1
S Z b ~
c~ r~,~ ~I • I
(C~
r ~ f
_f U X S L 8,,Q ~ • ~r. ~ M ~ ~ . ~ ~~e ~ .
1~ K 22 ^
35 x 44 ' (5qo
-7 I~
52
Cg U-2 U
Zq x qo o x
~ZSDU
EXTERIOR E ~~ELOPE AVERAGE "U" COMPUTdTIOid
crr.iER oA.~ s~
SZTE ADDRESS flI-2 V Ufz 1'~ T YJ G,i nJ in~ Fa C L
CONTRACTOR (.JOd~L-C%9 DATE /b-O-8s PHONE 6V
Determine working square footage of each.
1. Total ezposed wall area IUey sq. ft, x~rl'I'~ a
2. Total roof/ceiling area ol -~k n sq, ft, z.~~ Uy
~ , ozv
Total ezposed xall area above floor ~
a. Total xall window area
b. Total door area 3A'
' c. Total sliding g2ass door area u os
d. Total fireplace wall area.................... -
e. Total wall framing area (average10%)......... ra -)z
f. Total net wall area above floor 4')
g. Total rim Joist area qi•5
Total ezposed foundation area = 4 3,S
r
h. Total foundation window area
I. Total net Poundation area above grade........ 73.5
Determine "U" value of each wall segment.
a. X"U" )5 T~ Sla 13
b.. X"U" S. 2 z
C. y0, X°j7° ~ a a L7.11~
d. - X "U^
. Q. 20 XnU° ~ ol
r. l y-) X "Un . Ll C/, L a~
g. i'Y' S x "u" `s,GL
h. ~ X °U" ' -
~
i I. X "U"
I
I
i 3 ..................................Tota1 ~ ,CO y
B If :tem 93 Ss the same as, or less than item 01, you have met the
~ intent of SHC 6006 (c)2.
~
~
Total ezposed roof/ceiling area ~ qa- 0
J. '"otal skylight area
k. Total :oof/celling framing area(average lOx)
1. Total net insulated roof/ceiling area........
Determ2ne "U" value for each roo.*/ceiling segment.
J. X "U" '
k 92"D xnu° o3S
i. FCae xIOUn D 3 . I 5 XS
k Total a U77
If total of 04 is the same as, or less than M2, you have net the
• intent of SBC 6005(c)1.
Alternate Building Envelope Design
^_'o utilize the total envelope system method, the values estab2lshed
by the sum of items 03 and q4 shall not be greater than the sum of
items #1 and 02,
1. + 2. '
g, * 4.
~
. GITY OF BURNSVZLLE •
MINIMUM "U" VALUE AND.R- FACTOR AT ROOF, WALL, RIM AND CONCRETE BLOCK '
Pravide insulation baffles in every' ' RQOF ~ C`ILING
ratter space.
' y tR~ VALU
I~ lt1TE9I0~ F'.liL F(lM
. O S~s° G~P E~, . O INSULA'[~oN .
. / (D . .
' ` OO EXj6RlaR AlR FILM ~ ~ g (S"rILL) '
~ . ~~Utt = I IlZ = ozS TOTqI (jC)= ' J .
. : ~ WAtL
- (-R) VALck
. _ S . Q IN lc~[-lar- AlR fllM -
q (D 112" GYP.- _6D.. . ' .
OO WaI0suLATIoN siz'` .
. ' Q . Z'f~-R $u1!-f ~IjTc . . . - . Q MktoNl7~ S1D(N(x
to u ex~~~~loc~ kiR FlLr'1 . • . . tl uuI/R = .01-3 ToTAL (R)-
-
~1M <R) U~
- • ~Z ~ it~f-.l'•lor~ 'qttc Flu~ VAI . .
5 1/,!1 145ULATIOti
10, 10 2 „IR R1th ~tsT : • .
15 ~s ~f>z Svr:T.-~iI~5 •
rihSorikTE. sto~r~ . . ~O , eXT~tzioR AIR ~?~M -
. D . • • ~ "U" .0'-~? ToTRL (tz)-
U° • ' J
0
. • •°o. fo~VDATIoVI (17) vAtut_
i . o INTa_IZ a?K FIu~ -
n
n .
• e n ~ Di r?" Gbi•IG. 31.K,
~ ~ . - ' ~7 , • ~ u i ,~•P~ FoIS.Ni
, • • Q EXjERl9[k A1R FIC.M .
0
u n _
U l/[Z= ~2'7 To1PL (r<)=
Floors ovzr unheated spaces must have minimum R-factor of R-20 (tuc.l•-under garages).
Floors over outdoor air (overhangs) must have a ninimum P,-factor of F-38.
Mt-ertificate for:
• Wakely ~onstruction
13613 Washburn Ave. So.
Burnsville, Mn. 55337
DELMAR H. SCHWANZ
UND SURVEYOAS INC
9nO.51nrM UnOn Ldwa pl Tnp $IdIP OI Mmn?Snid
14750 SOUTN ROBERT TRAIL ROSEMOUNT. MINNESOTA 55068 PHONE BlZ 423-1769
SURVEYOR'S CERTIFICATE
~
y0/Z,~' TDlJN ~/~1 GE 1
994S Ioo. 0 0 ~
0` Taicrad foPu~.~q ~ ;
SCALE: 1 inch = 30 feet ~
Elevations ahown are existing ~
I~h~ \ loiti . and based on a assumed datlzm. ;
o a
M o
fa~N~ 1 I- 3~- .r
I 1i - ~io.a4 roiN.'6 m I n GAa_ ~I ~ Propoaed garage floor ~
~ I f.s o ~ elev.
n ° 2z.s I ~
4 ~ ~ •
O y, ~/Lu/Offo I Q
~ N NoriE ~
Td/N~i
`DT / 7 I a
~
~
fl Drainage &
• utility
L easement J ~
6/. is S 6'9- SZ - iiE
I hereby certify that this ie a true and correct repreaentation of
Lot 17, Block 5, NORTHVIEW MEADdW3, according to the recorded plat
thereof, Dakota County, Minneaota.
Also ahowing the location of a proposed house as ataked thereon.
Dated: October 16, 1985
i
MINNESOTA REGISTRATION NO. 8525
v
L / BL 5 CITY USE ONLY RECEIPT 9c21555
~ 02 S/S ~
SUBD. 7 , ,2-C RECEIPT DATE:
1998 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT HI70B RD
EAGAN, bA1 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when pertnits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tu3.00 x =
ate3.00 x Z =
oor 100 x =
Gas Piping Outlet ' minimum - 1 3.00 x =
Rough Openings 1.50 x =
Watef Softener "tor dwellings under construction 5.00 X =
Water Softener ' for existing dwelling 20.00 X =
U.G. Sprinkler ' fordwelling under const. 3.00 =
U.G. Spfinklef ' for existing dwalling 20.00 =
Alterations ` to existing residence 20.00 =
Water Turn Around 20.00 =
Private Disposal System ' MPC iic. 75.00 =
(new and refurbished systems)
Private Disposal Systems ' Abandonment 20.00 =
STATE SURCHARGE 5 ~
S~
TOTAL '.XO
I ~ereby acknowledge that I have read this appliwtion, sWte that the infortnation is cortea, and ag2e to comply with all applicable Ciry of Eagan ordinances.
It is the applicanCs responsibility to notify the property owner that the Ciry of Eagen assumes no liability far any damages caused by the City during its
nortnal operational and maintenance activdies to tne facilities constructed under this permit within Ciry propertylright-of-way/easement.
SITE ADDRESS: Q~ ~~~TOw,s/ ~ACE
OWNERNAME: /v°/n ~.~//GGF~.?ac~,
INSTALLER NAME: TELEPHONE
~
STREET ADDRESS:
CITY: O~?ir>ou?"/~ STATE: ZIP:
SIGNATURE OF P MITTEE
JS/FORMS BLDGlPLBG PERMIT (RESIDENTIAL) 1998
~ • i M ~ • ~ ~ ~i • • a ia~• n ' ~
f
~ .v. C •a• 410 s • « 01 §0' 1 11 Di • ;
u ~
~ CITY OF EAGAN
APPLICATION FOR PERMiT SEWER PSID/OR WATER CONNECTION
(Please Print)
1) PROPII2TY ADDRFSS: ~ f% i J / ' n
LFSAL DFSQ2IPTION:
(Lot Block Subdivision or Tax Parcel I:D. Number)' /
IF EXISTING SIRCCT[7RE, DATE OF ORIGINAL BLILDING PERNIIT ISSC'ANCE:
(Nbnth Year)
rm~
PRESENT ZONING/PROPOSID DSE:
R-1 SINGLE FAMILY
R-2 DOPLEX ('IWO L'nits)
R-3 '1bWNHOLSE (Three + Dnits) ( Units)
R-4 APARTMEAPP/CONIDCXNINI[.'M ( Units)
COMMEE2CIAL/RETAIL/OFFICE
IPIDUSTRIAL
INSTI'IL'TIOiVAI,/GOVEE2NAIENT
2) ~
tvAME: /r
rwnREss:
CITY, STATE, ZIP:
PHONE:
3) • r~• 1 For City Use
NAP1E: ' ~ - v C'
' P1umUers Licensf
ADDRESS : pctive
CITY, STATE, ZIP: Gj Gj ~c rU ~C7 ExWred
~ MASTEE2 LICENSE # o~t r~ ~ or~
PHO[~: 7T./~1 7~
Staff%Initial
~
4) • • ia•
NAME: r f~1 4f A-( K e~_
ADDRFSS:
CITY, STAT'E, ZZP:
PHONE:
5) u « • a• o•
~CONNECTION 'IC) CITY SEWER M-CONNECTION TO CITY WATEF2
D 0'I'EIEE2 (Please Describe) !
6) u • • i
? PI,EASE HOLD APPROVID PERMiT FOR PICK-L'P BY ONE OF ABOVE
? PLEFjSE MAIL APPROVF.D PEPMT M 1, 2,0 4, ABOVE
(Circ~ one)
7) 0 7~ cl Qi
. ~
F O R C I T Y U S E O CI L Y .
PERMIT ISSUED
FEES: SE:i:n Pr.a::T_T (I)?CLi:ME SliRC-?RGc)
S /C .S' WATER PE:t:iT_': (Ii:Ci'uDc SuRCHAiZGc)
S < < WATER M°TE4/COPPx'RHORN/OUTSID : REi,DcR
+S WATER T.-*iP (Ii;CLUDE C03PORATI0:7 STO?)
$ S°.:c3 ':'A?
$ t_ ~CCi;::^ Z=_-O= - a_: 'c3
$ _ ~J • ~ ACCOli`:T DF?OSIT - WATER
$ . ~ !'r. . WAC
$ SAC
$ TBi;?iK t:';,TER ;,SSESS:!E::T
$ TRi.;:]K 5'WER ASS :SS:i°_N'*'
$ Le,:ER=,i BcXcFIT/T??li.`]iC 5=:;E:c
$ LA^_cR,=?L BENc.?IT/TRU:IK WA^_='R
$ WATER TREAT*E\T PLAA'T SURCHARGE
$ OTHER:
$ TOT ;L
$ /C._). `C•Ai•IOU:•:T PAIJ.`REC°I?T R~ ~.~~i
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DOES UTILITY CONNECTZON REQUIP.E EXG,VATION I,1 PUBLZC RIGHT OF WAY?
YES IF YES, THEi] H"PERDIZT FOR WOR!i WIT??IN
PUBLIC RO.aDWAY" MUST BE ISSUED BY TY.E
C] NO ENGINEERZNG DIVISZON. LZST AS A CONDI-
TION.
SUEJECT TO THE FOI.LOL4ING CONDITIO^:S:
i /
APPROVED BY: ,
. ~
TI;LE: ~
DAT°:
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA128076
Date Issued:10/27/2014
Permit Category:ePermit
Site Address: 812 Yorktown Pl
Lot:17 Block: 5 Addition: Northview Meadows
PID:10-52100-05-170
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater & Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Ann Hoffman
505 Randolph Ave
St Paul, MN 55102
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Patrick A Rogers
812 Yorktown Pl
Eagan MN 55123
(651) 261-0545
Bonfe's Plumbing & Heating
505 Randolph Ave
St Paul MN 55102
(651) 228-9071
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA138753
Date Issued:09/19/2016
Permit Category:ePermit
Site Address: 812 Yorktown Pl
Lot:17 Block: 5 Addition: Northview Meadows
PID:10-52100-05-170
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Patrick A Rogers
812 Yorktown Pl
Eagan MN 55123
(651) 261-0545
Weathersafe Exteriors Inc
1103 Weir Dr
Woodbury MN 55125
(651) 528-6219
Applicant/Permitee: Signature Issued By: Signature
C!ty of kap
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
tY) D2s(
Date Received:
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address:
Resident/'
Owner
Type of Work
Contras
Name: C) ky -Oyy lS
Address / City / Zip: 51 Z VorK
Applicant is: 41 Owner Contractor
Description of work: I1'-`•-.4)/%t.4)/t'‘C\Nc\--
Construction Cost:
Company: Y/Q
Unit #:
PhoneCc51 2( -05-4
L-tt, 1 s -s 1z
\n Cf
Multi -Family Building: (Yes / No< )
Address: A\C:
Contact: L 2f \
State: Y\N1 Zip: 55 -1 -1 -5 -
License
125 -
License #2(L (t) 9-9 ( 5
City: 1A:01 OCK.Ct-41'
X
1
Phone:C(95/-2/4-7g9`"L Email: b (,.3e= j f c:4\
Lead Certificate #:
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
Phone:
Fire Suppression Contractor:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x
Applicants Printed Name
App Isar/ 's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA145206
Date Issued:08/28/2017
Permit Category:ePermit
Site Address: 812 Yorktown Pl
Lot:17 Block: 5 Addition: Northview Meadows
PID:10-52100-05-170
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Patrick A Rogers
812 Yorktown Pl
Eagan MN 55123
Bonfe's Plumbing & Heating
505 Randolph Ave
St Paul MN 55102
(651) 228-9071
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA174060
Date Issued:12/21/2021
Permit Category:ePermit
Site Address: 812 Yorktown Pl
Lot:17 Block: 5 Addition: Northview Meadows
PID:10-52100-05-170
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Patrick A & Emily E Rogers
812 Yorktown Pl
Eagan MN 55123
Bonfe's Plumbing & Heating
455 Hardman Ave
South St. Paul MN 55075
(651) 228-7140
Applicant/Permitee: Signature Issued By: Signature